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无创正压通气对胸外科术后呼吸衰竭的疗效 被引量:6

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摘要 目的观察无创正压通气(NPPV)对预防胸外科术后急性呼吸衰竭的效果。方法选择常规手术方式且术程顺利的胸外术后转入重症医学科的患者61例,分成常规组和NPPV组,常规组术后采用常规治疗,NPPV组在常规治疗的基础上予NPPV治疗。对比两组患者手术前后生命体征、动脉血气、术后肺内的残腔容积,术后急性呼吸衰竭并发症的发生率以及再插管率。结果 NPPV组患者术后急性呼吸衰竭的发生率为3.3%,显著低于对照组的8%(P<0.05);术后1周NPPV组的残腔容积显著低于常规组,差异有统计学意义(P=0.02);NPPV组术后的再插管率为0%,显著低于常规组的3.5%(P<0.001);两组患者术后血气分析值各项指标变化差异无统计学意义。NPPV并未加重患者肺漏气。结论与常规治疗比较,胸部手术后早期应用NPPV可以显著降低胸外科术后肺膨胀不全的发生率,减少急性呼吸衰竭的发生率及再插管率。
出处 《广东医学》 CAS CSCD 北大核心 2014年第16期2534-2536,共3页 Guangdong Medical Journal
基金 广东省医学科研基金立项课题(编号:A2009259)
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参考文献12

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共引文献467

同被引文献59

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